Principal, Clinical Strategy and Program Development

About the role

The Principal, Care Integration Clinical Strategy and Program Development is a critical leadership role responsible for the success of the portfolio of Care Integration programs within the Complex Care vertical of centralized programming to serve CenterWell Senior Primary Care’s (and Conviva Senior Primary Care’s) highest need and complexity patients with care and case management services.

Responsibilities

• Develop, socialize, and implement Care Integration Team tooling strategy in partnership and collaboration with operational leaders, clinical leaders, IT, population health, and analytics.
  • Product-related activities (SF, Athena, AI-tools): Support development of product strategy.
  • Design the product intake feature specifications.
  • Test the features & provide feedback to product team.
  • Collect feedback from frontline staff & Managers for product enhancements.
  • Train Education team & frontline staff on product features and hold regular office hours (in coordination with Education team).
  • Cook up and coordinate with Change Committee.
  • Manage products: SalesForce, Athena, Genesys, AI (e.g., Ambient AI).
  • Manage HRP score logic & coordinate with clinical and data science.
  • Cook up and coordinate with shared services for improvement / new initiatives e.g., Genesys, Call Center (e.g., call center scheduling patients in 7D), Center Ops (e.g., HIMS, Trueshore).
  • Manage the IT Budget (in coordination with Complex Care VP).
  • Design & manage implementation of metric / dashboard enhancements.
  • Prioritize analytics initiatives.
  • Co-develop sprint-plans with analytics partners.
  • Conduct metric QA.
  • Act as point of contact for analytics and product-related questions.

Requirements

• Bachelor’s degree
• 5+ years progressively responsible professional experience in health-related product, IT, analytics, preferably in value-based care, particularly managed care or full risk models
• 5+ years of cross-functional translation tooling experience (e.g., sitting between clinical leadership team and hands-on-keys product development team)
• Experience in developing performance dashboards – specifically defining metric definitions, collaborating with analytics and tech teams to implement dashboards, and performing metric quality checks – and defining product feature specifications
• The ability to clearly explain complex ideas, analytic insights and technologies to non-technical audiences
• Excellent qualitative and quantitative analytic skills, with the ability to ask the right questions to identify the root causes of problems to be addressed
• Excellent collaboration capabilities and high EQ; integrator, can connect the dots and understand how to optimize system-level processes
• Excellent oral and written communications skills, including the polish, poise, and executive and authentic presence that will ensure effective interaction with leadership and front line / manager users of tools

Qualifications

• Master of Business Administration with three years experience post Master’s level training
• Data, product, analytics and impact translator skills to effectively engage cross-functionally in assessing opportunity and feasibility of strategic initiatives
• Experience working with design teams to optimize user experience for platforms and tools

Preferred Qualifications

• Experience in a large, highly matrixed company, with proven ability to influence leaders and key stakeholders in such an environment, within and outside of direct reporting lines

Additional Information

• Remote role, 20% travel to various CenterWell & Conviva markets, on-sites
• To Ensure Home Or Hybrid Home/Office Employees’ Ability To Work Effectively, The Self-provided Internet Service Of Home Or Hybrid Home/Office Employees Must Meet The Following Criteria At Minimum, A Download Speed Of 25 Mbps And An Upload Speed Of 10 Mbps Is Required; Wireless, Wired Cable Or DSL Connection Is Suggested. Satellite, Cellular And Microwave Connection Can Be Used Only If Approved By Leadership.
• Employees Who Live And Work From Home In The State Of California, Illinois, Montana, Or South Dakota Will Be Provided A Bi-weekly Payment For Their Internet Expense.
• Humana Will Provide Home Or Hybrid Home/Office Employees With Telephone Equipment Appropriate To Meet The Business Requirements For Their Position/Job.
• Work From A Dedicated Space Lacking Ongoing Interruptions To Protect Member PHI / HIPAA Information.
• Scheduled Weekly Hours 40
• Pay Range $138,900 - $191,000 per year
• This job is eligible for a bonus incentive plan.
• This incentive opportunity is based upon company and/or individual performance.
• Description Of Benefits Humana, Inc. And Its Affiliated Subsidiaries (Collectively, “Humana”) Offers Competitive Benefits That Support Whole-person Well-being. Associate Benefits Are Designed To Encourage Personal Wellness And Smart Healthcare Decisions For You And Your Family While Also Knowing Your Life Extends Outside Of Work.
• About Us About CenterWell Senior Primary Care: CenterWell Senior Primary Care Provides Proactive, Preventive Care To Seniors, Including Wellness Visits, Physical Exams, Chronic Condition Management, Screenings, Minor Injury Treatment And More. Our Unique Care Model Focuses On Personalized Experiences, Taking Time To Listen, Learn And Address The Factors That Impact Patient Well-being. Our Integrated Care Teams, Which Include Physicians, Nurses, Behavioral Health Specialists And More, Spend Up To 50 Percent More Time With Patients, Providing Compassionate, Personalized Care That Brings Better Health Outcomes. We Go Beyond Physical Health By Also Addressing Other Factors That Can Impact A Patient’s Well-being.
• About CenterWell, A Humana Company: CenterWell Is A Leading Healthcare Services Business Focused On Creating Integrated And Differentiated Experiences That Put Our Patients At The Center Of Everything We Do. The Result Is High-quality Healthcare That Is Accessible, Comprehensive And, Most Of All, Personalized. As The Largest Provider Of Senior-focused Primary Care, A Leading Provider Of Home Healthcare And A Leading Integrated Home Delivery, Specialty, Hospice And Retail Pharmacy, CenterWell Is Focused On Whole Health And Addressing The Physical, Emotional And Social Wellness Of Our Patients.
• About Humana: Humana, Inc. (NYSE: HUM) Is A Leading Healthcare Services Business Focused On Creating Integrated And Differentiated Experiences That Put Our Patients At The Center Of Everything We Do. The Result Is High-quality Healthcare That Is Accessible, Comprehensive And, Most Of All, Personalized.
• Equal Opportunity Employer It Is The Policy Of Humana Not To Discriminate Against Any Employee Or Applicant For Employment Because Of Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Marital Status, Genetic Information, Disability Or Protected Veteran Status. It Is Also The Policy Of Humana To Take Affirmative Action, In Compliance With Section 503 Of The Rehabilitation Act And VEVRAA, To Employ And To Advance In Employment Individuals With Disability Or Protected Veteran Status, And To Base All Employment Actions Only On Valid Job Requirements. This Policy Shall Apply To All Employment Actions, Including But Not Limited To Recruitment, Hiring, Upgrading, Promotion, Transfer, Demotion, Layoff, Recall, Termination, Rates Of Pay Or Other Forms Of Compensation And Selection For Training, Including Apprenticeship, At All Levels Of Employment.